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A practice in the New Forest area

P-003490 · Statement · Decision date: 28 April 2025
Diagnosis Access Care plan failures
Complaint (AI summary)
Mrs X complained the Practice misreferred her for a vulva skin tag and didn't urgently refer her for VIN3. She also said the Trust caused long waiting times, leading to pain and financial loss.
Outcome (AI summary)
The ombudsman did not uphold the complaint. The Practice made correct referrals, and waiting times at the Trust were unavoidable due to demand, with no preventable delays.

Full decision details

The Complaint

5. Mrs X complains in April 2023 the Practice did not give her appropriate treatment after it identified a skin tag on her vulva.

6. Mrs X says the Practice:

• initially incorrectly referred her to dermatology when she should have been referred to gynaecology • should have identified she had VIN3 (abnormal cells on the skin of the vulva) in her initial appointment and put her referral through as urgent rather than routine.

7. Mrs X also complains about the Trust. She says it took too long to arrange an appointment to assess her skin tag.

8. Mrs X says the impact to her has been:

• experiencing pain in her vulva for longer than she should have due to the incorrect referral by the Practice and the long waiting lists at the Trust • stress and anxiety due to the worry about her condition • financial loss as she had to pay for a private biopsy as the wait at the Trust was too long

9. Mrs X seeks the following outcomes:

• a financial remedy to cover the cost of the private treatment she paid for • service improvements to ensure this does not happen to another patient.

Background

10. In April 2023, Mrs X attended an appointment at the Practice as she had a lump on her vulva that was catching on her clothes and becoming uncomfortable.

11. The Practice explained the lump was likely a skin tag (a small growth on the skin) and it could be removed. However, it did not feel comfortable doing this due to the sensitive area the skin tag was in. The Practice referred Mrs X to the dermatology department at the Trust to have this done.

12. In May 2023 Mrs X had her dermatology appointment. It explained it would not be able to remove the skin tag. Mrs X was then discharged from the service.

13. Mrs X went back to the Practice for another appointment. She explained the skin tag has grown, and was becoming increasingly uncomfortable. The Practice referred her to gynaecology for a removal.

14. In July 2023 Mrs X received a letter from the Trust advising her that she would be contacted by September 2023 about an appointment.

15. Mrs X contacted the Trust in October 2023 to chase her appointment. It saisd itwas not able to allocate her an appointment yet, however she was on the waiting list.

16. In December 2023 Mrs X contacted the Trust again.She was again advised she was on the waiting list.

17. Mrs X decided to go private for an appointment. On 11 December, the private clinic told her it would cost £1,500 to have the skin tag removed.

18. Mrs X called the Trust to ask how much longer the wait would be before she made the decision to get the removal or not. The Trust said it would take approximately six months.

19. Mrs X decided to have the skin tag removed privately. After the appointment, the consultant sent the skin tag for a biopsy and confirmed it was VIN3.

20. Mrs X called the Trust and explained the situation. It advised her to keep her appointment, but asked that she request the Practice change the referral to urgent rather than routine. The Practice did this.

21. Mrs X had her appointment with the Trust in March 2024. She says it was unaware of her clinical history and thought she was there for an initial assessment. It did an internal and external examination. She and was told she would be placed on a two week or six months call back, depending on the specialist’s view. Mrs X told us the Trust has not called her since to update her on her health care.

Findings

The Practice incorrectly initially referred Mrs X to dermatology

25. Mrs X says in April 2023, the Practice incorrectly referred her for a dermatology appointment to investigate the skin tag on her vulva. In May 2023, the dermatologist said they were unable to remove her skin tag as they are benign (non-cancerous) and not treated on the NHS. Mrs X feels the referral was pointless and the Practice should have referred her to a gynaecologist instead. She says she did not get referred until July 2023. In this time, her skin tag had grown and become more uncomfortable.

26. We recognise it would have been disappointing and frustrating for Mrs X when she was told she could not undergo treatment with the dermatologist in May 2023. We are sorry to hear her pain got worse and that this was impacting her quality of life.

27. We asked our GP adviser to tell us whether the dermatology referral in April 2023 was appropriate in the circumstances.

28. GMC guidelines explain clinicians should ‘promptly provide or arrange suitable advice, investigations or treatment where necessary’ and refer a patient to another practitioner when this serves the patient’s needs’.

29. The records show Mrs X’s GP suspected she had a skin tag on her vulva in April 2023. In December 2023, a private clinic confirmed it was a Vulval Intraepithelial Neoplasia 3 (VIN). A VIN is when abnormal cells develop in the top layer of skin covering the vulva. It is not vulval cancer, but the abnormal cells could turn into cancer. The cancer research UK guidelines explain when a patient has a suspected VIN, they should be referred to either a dermatologist or gynaecologist for more investigations.

30. In this case, our GP adviser confirmed Mrs X’s GP promptly gave ‘suitable advice’ and referred Mrs X to an appropriate practitioner to ‘serve her needs’. The records show in April 2023, the GP referred her to a dermatologist. This was to investigate and confirm a diagnosis of the skin tag.

31. Importantly, the cancer research guidelines say patients should be referred to a dermatologist or gynaecologist when the patient has a suspected VIN. That said, we can see the Practice’s decision to refer her to a dermatologist was appropriate in the first instance. This is the usual route for the treatment of skin lesions, and it is the appropriate route to investigate suspected VINs.

32. Our GP adviser added even if the Practice had identified and confirmed on sight Mrs X’s lump was VIN3, it would have been correct to refer her either to a dermatologist or gynaecologist to confirm this. This is because they are the ‘appropriate practitioner’ with the relevant expertise to confirm this diagnosis.

33. We recognise it will have been worrying for Mrs X to feel her care was delayed. We would like to reassure her the Practice followed appropriate guidelines and correctly initially referred her to a dermatologist to assess her skin tag. We did not see indications of failings for this part of the complaint.

The Practice should have identified that Mrs X’s lump was potentially VIN and put the referral through as urgent rather than routine

34. Mrs X says the Practice should have confirmed the lump on her vulva was a VIN3 in her first appointment. She also says it should have placed an urgent gynaecology referral for her rather than a routine one. This left her feeling distressed and anxious that her VIN3 could have developed into cancer whilst she was on the waiting list.

35. We do not wish to underestimate how worrying it must have been for Mrs X whilst she was waiting for her appointment. Understandably, her health is very important to her, and it would have been incredibly difficult waiting for further specialist treatment.

36. GMC guidelines explain clinicians have a duty to ‘provide good clinical care’. It states when treating a patient, they should take steps to ‘adequately assess the patient’s condition’ including their symptoms and clinical history.

37. The VIN guidance explains the usual features of a VIN. It states when a patient has a VIN it may appear as one or more ‘flat or slightly raised, well defined or irregular skin lesions that may be pink, red, brown or white.’

38. The cancer research guidelines also outlines further symptoms of VIN. It says patients may experience itching, changes to the vulval skin and discomfort or pain during sex.

39. NHS Health A to Z guidelines explain skin tags are ‘soft, skin-coloured growths on the skin. They are very common and usually harmless’. It also states ‘skin tags do not need to be removed, but if they're causing problems they can be removed’.

40. The records show in April 2023, the Practice’s GP assessed the lump on Mrs X’s vulva and considered her clinical history. The outcome was the lump did not have the usual features of a VIN. Instead, it had the appearance of a skin tag. Further, when Mrs X attended the Practice, she did not report any of the associated symptoms of a VIN. The records indicate she told the GP she noticed a lump during a smear test, and it had ‘begun catching on her clothes’.

41. Our GP adviser confirmed it appears the Practice correctly assessed Mrs X’s symptoms and clinical history in line with GMC guidelines. Having done so, it appears the lump on her vulva did not have the typical appearance or associated symptoms of a VIN. As such, we do not feel it reasonably missed an opportunity to diagnose this in the appointment.

42. NHS Health A to Z guidelines explain skin tags are ‘usually harmless’ and ‘do not need to be removed’ unless they are causing problems. On this basis, our GP adviser confirmed they would not expect the GP to place an urgent referral to the dermatologist. It was appropriate to put a routine referral in place for Mrs X based on the diagnosis of a skin tag. Taking all this into account, we have seen no indications of failings for this part of the complaint.

Waiting times at the Trust

43. Mrs X explained the Practice sent her referral to gynaecology on 14 July 2023. She received a letter from it saying she would hear about an appointment by September 2023.

44. In October 2023 she had still not heard from the Trust so she contacted it. It explained the waiting list was very long, however she was still on it.

45. In December 2023 Mrs X contacted the Trust again. She was again told she was on the waiting list for an appointment.

46. Mrs X decided to get a private gynaecology appointment due to the waiting time. Following this, she decided to have the lump removed privately. This left Mrs X feeling like the Trust’s waiting time was unacceptable. She explains it caused her significant worry, and the lump grew which made it more painful.

47. Mrs X had her first appointment at the Trust in March 2024. This means she waited approximately eight months from the date of her first referral.

48. Our principles of good administration explain organisations have a responsibility to provide ‘effective services’ they should ‘plan their resources’ and ‘treat people equally and impartially’ to ‘ensure equal access to services and treatment’.

49. It is important to explain all NHS resources are subject to limitations. When we considered this complaint, we carefully looked at the demands on the Trust’s gynaecology service at the time of Mrs X’s treatment. We then considered if the Trust’s delays were unavoidable during the period in question. In line with our principles, we considered whether Mrs X was treated equally and fairly and waited an appropriate amount of time, in line with the demands on its service.

50. The Trust’s website explains wait times for its gynaecology department are around 16 weeks for an initial appointment. It also explains that this wait time is subject to change based on the demands of the service at that particular time.

51. We asked the Trust if it kept any records of the demands on their gynaecology service in July 2023 to March 2024. It explained ] it does not have an exact record of the waiting time for each specific month. However, it confirmed the appointment list for April 2024, included referrals from April 2023. This means the waiting list for appointments at the time of Mrs X’s referral was around 12 months long.

52. Mrs X’s initial appointment at the Trust was in March 2024. This was around 8 months after her referral from the Practice.

53. We recognise Mrs X was advised she would hear about an appointment in September 2023. We understand it will have been frustrating for her to not hear about her appointment when she expected to. We are sorry to hear of the added worry and uncertainty this caused, at what was already a difficult time.

54. The information provided by the Trust indicates the demand on the gynaecology department was high during this period . We are satisfied the Trust offered Mrs X an appointment within its timescale at the time and when it had capacity to do so. We did not identify any administration errors, which caused avoidable delays in her accessing an appointment. For this reason, we decided to take no further action regarding this complaint.

Our Decision

1. We have carefully considered Mrs X’s complaint about the Practice and Salisbury NHS Foundation Trust (the Trust).

2. Mrs X told us she has suffered pain, distress and worry after developing a skin tag on her vulva. She says this situation was made worse, due to the long waiting time she experienced for an NHS appointment. We recognise this has been an incredibly stressful and upsetting time for her. We are sorry to hear of the pain she has suffered from and appreciate how important it is for her to get closure for her complaint. We would like to thank her for time and effort during our process.

3. We consider the Practice correctly referred Mrs X for an initial dermatology appointment to investigate her skin tag. Following this, we also consider it correctly referred her for a routine gynaecology appointment at the Trust. We would like to reassure Mrs X we did not see indications her care from the Practice fell below the standard expected.

4. We recognise Mrs X had to wait a long time for an appointment at the Trust. This must have felt frustrating at what was already a worrying time. Sadly, it appears this waiting time was unavoidable, due to the demand and resources available at the Trust. We did not see indications Mrs X experienced delays which could have been avoided.